Organization
CELEBRACES CONGRESS PLLC
Active
Organization
CELEBRACES CONGRESS PLLC
Active
Other names
Celebrate Dental and Braces
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING MANAGER)
(612) 859-0444
Entity
Organization
Contact information
Practice address
111 W WILLIAM CANNON DR STE 200, AUSTIN, TX 78745-5657
(512) 521-7000
Mailing address
111 W WILLIAM CANNON DR STE 200, AUSTIN, TX 78745-5657
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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